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differential diagnosis

Posted by Errol H. on 10/18/00 at 04:23 (030745)

Hi! I've had heel pain in both feet for 3 years. It came on after rollerblading and light running. I'm now 49 years old, and in good health except for my feet! I've tried many treatments (rest, stretching, orthotics, no cortisone), but after 2-1/2 years, a minor breakthrough happened when I listened to some advice from this website, and stopped all weight-bearing stretching. Within 3 weeks, I noticed some improvement. Currently, I'm taping all day under the guidance of my physical therapist, icing at night, and doing a non-weight bearing stretching routine before I get out of bed each morning. I've noted some improvement the past 2 months, but I'm wondering if PF is all that I have? Would an MRI differentiate between PF, TTSyndrome, and all the others mentioned? Some guidance please. Thanks

Re: differential diagnosis

Dr. Biehler on 10/18/00 at 06:25 (030748)

A good hands on exam should be able to answer most of all your questions. At this point it doesn't appear that you need a MRI. Dr. B.

Re: differential diagnosis

Errol H. on 10/19/00 at 15:14 (030853)

Dr. B: I've had hands-on diagnoses from an internist, a rheumatologist, an orthopedist, a podiatrist, a physical therapist, a pedorthist, and a sports masseuse. I still have pain, and am not sure what to do next. Additional information from my first post: I've also tried iontophoresis and night splints. Any more suggestions? Thanks, Errol H. What about ESWT?

Re: differential diagnosis

Dr. Biehler on 10/18/00 at 06:25 (030748)

A good hands on exam should be able to answer most of all your questions. At this point it doesn't appear that you need a MRI. Dr. B.

Re: differential diagnosis

Errol H. on 10/19/00 at 15:14 (030853)

Dr. B: I've had hands-on diagnoses from an internist, a rheumatologist, an orthopedist, a podiatrist, a physical therapist, a pedorthist, and a sports masseuse. I still have pain, and am not sure what to do next. Additional information from my first post: I've also tried iontophoresis and night splints. Any more suggestions? Thanks, Errol H. What about ESWT?